BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARGON PVC EXTENSION TUBE & STOPCOCK

    MDR report key: 81234 · Received March 25, 1997

    Report

    Report Number
    1625425-1997-90003
    Event Type
    Injury
    Date Received
    March 25, 1997
    Date of Event
    February 15, 1997
    Manufacturer
    ARGON MEDICAL
    Product Code
    FLN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NURSE FOUND HUB/LUER OFF TUBING OF ARTERIAL LINE. PT LOST ESTIMATED 5-50CC'S OF BLOOD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARGON PVC EXTENSION TUBE & STOPCOCK PVC EXTENSION TUBE & STOPCOCK FLN ARGON MEDICAL * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Required Intervention